Provider Demographics
NPI:1013639368
Name:SUSAN MATHEW MD PLLC
Entity Type:Organization
Organization Name:SUSAN MATHEW MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-464-7555
Mailing Address - Street 1:5311 BELLMONT PARK CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3662
Mailing Address - Country:US
Mailing Address - Phone:713-464-7555
Mailing Address - Fax:713-490-3365
Practice Address - Street 1:9601 KATY FWY STE 270
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1391
Practice Address - Country:US
Practice Address - Phone:713-464-7555
Practice Address - Fax:713-490-3365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty